Individual
JESUS CASTANEDA-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11340 W BELL RD STE A-101, SURPRISE, AZ 85378-9342
(623) 226-6644
Mailing address
16663 W SAGUARO LN, SURPRISE, AZ 85388-1157
(623) 285-6775
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-015028
AZ
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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